How much rates vary
Facilitymedian $209 · 10th to 90th $200 to $288Professionalmedian $65 · 10th to 90th $47 to $1,072
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $63.10 Median $208.93 Typical High $288.40 | Facility | None | $63.10 | $208.93 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $281.84 | Professional | None | $44.67 | $52.48 | $281.84 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | QX · CRNA, directed | $123.03 | $123.03 | $123.03 |
BCBS Michigan Setting Professional Modifier QX · CRNA, directed Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | QX · CRNA, directed | $151.36 | $151.36 | $151.36 |
CareSource Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,071.52 | Professional | None | $870.96 | $1,071.52 | $1,071.52 |
Health Alliance Plan Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $288.40 | Facility | None | $199.53 | $208.93 | $288.40 |
Health Alliance Plan Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $269.15 | Professional | None | $44.67 | $52.48 | $269.15 |
Priority Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | AA · Anesthesiologist | $169.82 | $169.82 | $169.82 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | QK · Directing 2–4 cases | $123.03 | $123.03 | $123.03 |
BCBS Michigan Setting Professional Modifier QZ · CRNA, independent Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | QZ · CRNA, independent | $281.84 | $281.84 | $281.84 |
Health Alliance Plan Setting Professional Modifier AA · Anesthesiologist Typical Low $120.23 Median $158.49 Typical High $346.74 | Professional | AA · Anesthesiologist | $120.23 | $158.49 | $346.74 |
Health Alliance Plan Setting Professional Modifier P2 · Mild systemic disease Typical Low $35.48 Median $51.29 Typical High $125.89 | Professional | P2 · Mild systemic disease | $35.48 | $51.29 | $125.89 |